Government
Agencies |
| We reduce medical costs by monitoring the utilization and quality of health care services. Over the last three state fiscal years, we have saved one of our state Medicaid clients over $158 million through effective utilization management and data analysis. |
| Want more value in your program? | |
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Health Care
Providers |
| We use a qualified peer-matched physician from our panel of over 400 medical professionals to provide unbiased opinions on quality of care or medical necessity issues. An experienced health care professional talks with you about case specifics. |
| Need another perspective? | |
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Other
Payors |
When a claim is appealed, our peer-matched physician reviewers study the insured’s medical record and make independent, evidence-based, expert opinions about the medical necessity of a service –
all for a negotiated fee! |
| Want to know your costs upfront? | |
